Antibacterial and immunomodulating limphotrop treatment of chlamydial chronic prostatitis

Catedra Urologie şi Nefrologie Chirurgicală, USMF „N.Testemiţanu”, Secţia Urologie IMSP Spitalul Clinic Republican, Profilactoriul „Constructorul”, Secţia Urologie IMSP Spitalul Clinic Municipal „Sfînta Treime”, Al V-lea Congres de Urologie, Dializă şi Transplant Renal din Republica Moldova cu participare internaţională (1-13 iunie 2011)Summary. Treatment of chlamydial chronic prostatitis is an actual and very difficult problem. Standard antibiotic regimens don’t bring expected results. 46 patients with the diagnosis of chronic prostatitis caused by chlamydia undergone treatment. The studied group was divided into two lots, lot 1 - treated with clindamycin by regional – local method, lot 2 – by introducing clindamycin intramuscularly. Positive effect in group 1 was present in 96%, associated with regression of clinical symptoms of chronic prostatitis, in group number two - 88% without a full clinical normalization. Our results assert that endolymphatic administration of clindamycin is effective in the treatment of chlamydial chronic prostatitis, with a higher success rate than standard method of intramuscular input

Evaluation of treatment in renal stone by extracorporeal shock wave lithotripsy

Catedra de Urologie şi Nefrologie Chirurgicală, USMF „N.Testemiţanu”, Centrul Medical „Magnific”, Chişinău, Secţia Urologie, IMSP Spitalul Clinic Republican, Al V-lea Congres de Urologie, Dializă şi Transplant Renal din Republica Moldova cu participare internaţională (1-13 iunie 2011)Summary. Objective of the study was evaluation of renal stone treatment by extracorporeal shock wave lithotripsy. In the study were included 35 patients with pelvis lithiasis, undergoing shock wave therapy (ESWL) in the Medical Center “Magnific” Lithoscop Siemens device. We obtained a success rate of 57.14% at the end of the procedure, one month after treatment the rate of “stone free” was 94.3%. The failure occurred in 5.7%, which were resolved by repeated ESWL session. The following complications were recorded: fever after treatment - 4 (11.4%) patients , renal colic -3 (8.5%), urinary infection -2 (5.7%), acute pyelonephritis - 1 (2.8%) “Steinstrasse” -1 (2.8%). Conclusion: ESWL is an effective method to treat small and medium-size kidney stones. It is a minimally invasive method that can be repeated without major consequences. Extracorporeal shockwave lithotripsy is the method of choice to treat kidney stones less than 2 cm, without obstruction

Acute pyelonephritis in urological practice – causes, diagnostic and treatment

Catedra Urologie şi Nefrologie Chirurgicală, Universitatea de Stat de Medicină şi Farmacie ,,Nicolae Testemiţanu”, Secţia de Urologie, IMSP Spitalul Clinic RepublicanPielonefrita acută (PNA) este o patologie care se poziţionează pe locul doi după infecțiile respiratorii, cu o incidenţă maximă între 20 și 50 ani. A fost studiat un lot de 216 bolnavi cu PNA și 32 paciente gravide cu pielonefrită acută (PNAG) trataţi timp de 5 ani în clinica de Urologie SCR. Vîrsta pacienților cu PNA a fost între 18 și 81 ani, vîrsta medie fiind de 34,6 ani; vîrsta pacientelor gravide cu PNA a fost între 18 și 32 ani, cu vîrsta medie de 22,9 ani. Tratament intervențional în PNA au necesitat 83 (38,4%) pacienți. În PNAG cateterizarea ureterului a fost efectuată în 15 (46,9%) cazuri și înstalarea stentului JJ în 10 (31,2%) cazuri. Urocultura și hemocultura, efectuată la internare, ar putea reduce costul și imbunătăţi eficacitatea tratamentului. Controlul sursei de infecție și drenarea căilor urinare în PNA și PNAG sunt o necesitate urgentă.Acute pyelonephritis (APN) is a pathology which is ranked second only to respiratory infections, with a maximum incidence between 20 and 50 years. We studied a group of 216 patients with APN and 32 pregnant women with acute pyelonephritis (APNP) hospitalized for 5 years in Urology Department. Age of patients with APN varied between 18 and 81 years, with an average age of 34,6 years, age of pregnant women with APN varied between 18 and 32 years, with a mean age of 22,9 years. APNP required interventional treatment in 83 (38,4%) patients. In APNP the catheterization of ureters was performed in 15 (46,9%) cases and installing JJ stent in 10 (31.2%) cases. Urine culture and blood culture, performed on admission, could reduce the cost and improve the effectiveness of treatment. Source control and urinary drainage in APN and APNP are urgently needed

The need for ureteral stent application after ureteroscopy with lithotripsy and ureteral stones remove

Catedra Urologie şi Nefrologie Chirurgicală USMF „N. Testemiţanu”, Secţia Urologie IMSP Spitalul Clinic Republican, Al V-lea Congres de Urologie, Dializă şi Transplant Renal din Republica Moldova cu participare internaţională (1-13 iunie 2011)Summary. It was appreciated the need to install ureteral double “J” stent after endoscopic removal of ureteral stones. The study included 62 patients who were hospitalized in the Urology Clinic of the Medical University and Pharmacy “N. Testemitanu” during the years 2009 to 2010 (25 men and 37 women) aged between 30-58 years (mean 42 years). Patients were performed ureteroscopy and contact lithotripsy for ureteral stones in different areas. According to the study, patients were divided into two groups: I group - 24 patients (38.7%) who received surgery were performed with double ”JJ” ureteral stent draining and 38 group II patients (61.2%) intervention was performed without draining the ureter. In all cases ureteroscopic access was successful, without the need to dilate the ureter. At the simple abdominal radiography made after two days, the absence of stones in 96.9% of patients in both groups became apparent. All patients were discharged, on average, after the 3rd day of surgery. The incidence of fever was slightly higher in patients with stents. Dysuria and terminal hematuria were present in patients of the first group. Installing ureteral double “JJ” stent is not required in uncomplicated ureterolithotripsy. Probabilities of developing symptoms associated with the presence of stent (suprapubic pain, disuria, terminal hematuria), stent placement requires only as indicated probes profile autostatic ,,JJ’’stents